Johannsen, Clifford Alan

Johannsen, Clifford Alan is an sole proprietor health care provider with primary practice located at 635 Church St Ne , Salem OR 97301-2402. He recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Johannsen, Clifford Alan can be contacted via phone (503) 399-9691.

Contact Information

Primary practice address
635 Church St Ne Salem OR 97301-2402
Phone: (503) 399-9691
Fax: (503) 399-9401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0935 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 0935 Oregon
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 0935 Oregon
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0935 Oregon
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 0935 Oregon
Behavioral Health & Social Service Providers / Forensic 103TF0200X 0935 Oregon
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 0935 Oregon
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0935 Oregon

Profile Details

NPI number 1962627901
LBN Legal business name Johannsen, Clifford Alan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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